| NPI | 1508452194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES DAVID BOGENSBERGER Owner 402-813-0406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2020-12-17 |
| Last Update Date | 2020-12-17 |